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RED HORSE TRAINING
Riding Instruction/Participation Liability Waiver

This form must be completed by and for each individual who wishes to participate in mounted or dismounted activities at Red Horse Training LLC., located at 2303 Aiken rd., Shelbyville, Kentucky. Please read this form in its entirety before signing, as we cannot guarantee your safety, and serious injury can result from participation in equestrian activities.

Name of stable, name of instructor, and all employees, contract laborers and vendors are hereafter referred to as "THE STABLE."

WARNING
UNDER KENTUCKY LAW, A FARM ANIMAL ACTIVITY SPONSOR, FARM
ANIMAL PROFESSIONAL, OR OTHER PERSON DOES NOT HAVE THE DUTY TO ELIMINATE ALL RISKS OF
INJURY OF PARTICIPATION IN FARM ANIMAL ACTIVITIES. THERE ARE INHERENT RISKS OF INJURY THAT
YOU VOLUNTARILY ACCEPT IF YOU PARTICIPATE IN FARM ANIMAL ACTIVITIES.

Either the individual (if over the age of 21) or parent/legal guardian of the minor child must initial each paragraph:

REGISTRATION OF RIDERS AND AGREEMENT PURPOSE. In consideration of payment of a fee and the signing of this agreement, I, the following listed individual, and the parent or legal guardian(s) thereof If a minor, do hereby voluntarily request and agree to participate in riding instruction as a student at THE STABLE, and that this student will ride horses provided by THE STABLE, for instructional purposes, today and on all future dates.

AGREEMENT SCOPE AND DEFINITIONS. This agreement shall be legally binding upon me, the registered student, and the parents or legal guardian thereof. If a minor, my heirs, estate, assigns, including all minor children. and personal representatives; and it shall be interpreted according to the laws of the state and county of THE STABLE'S physical location. If any clause, phrase, or word is in conflict with state law, then that single part is null and void. The term "HORSE" herein shall refer to all equine species. The term "HORSEBACK RIDING" herein shall refer to riding or otherwise handling horses, ponies, mules or donkeys, whether from the ground or mounted. The terms "STUDENT" and/or "RIDER" shall herein refer to a person who rides or handles a horse, mounted or otherwise, or comes near a horse from the ground. The terms "I", "ME" and "MY" shall herein refer to the above registered student rider and the parents or legal guardians thereof if a minor.

NATURE OF THE STABLE'S LESSON HORSES. I UNDERSTAND THAT: THE STABLE makes every effort to choose lesson horses with calm dispositions and to provide equipment that will ensure the safety of every student. However, there is no such thing as a completely safe horse, and as larger, more powerful animals, horses are capable of causing injury to humans. Falling from the back of a horse, for example, usually involves a distance of three to five feet. Horseback riding is the only sport in which one small prey animal attempts to impose his/her will upon a larger prey animal with neither one completely understanding the other. When horses are frightened or provoked, they occasionally deviate from their training and react according to natural survival instincts. These instincts may include, but are not limited to: stopping, changing directions, shifting weight, bucking, rearing, kicking, biting or running away.

RIDER RESPONSIBILITY. I UNDERSTAND THAT: When a RIDER mounts a horse, he/she assumes control and responsibility for the safety of him/herself as well as that of the horse. This includes an unborn child if the RIDER is pregnant. I agree that the RIDER will be responsible for his/her own safety, and that the RIDER will not ride while pregnant without consulting a physician.

PROTECTIVE HEADGEAR. I UNDERSTAND THAT: THE STABLE has advised me that pursuing mounted and non-mounted activities with horses can result in serious head injury, and that the best way to protect myself is by wearing protective headgear. The quality of the protect headgear is also important, and should comply with ASTM equestrian headgear requirements.

LIABILITY RELEASE. I AGREE THAT: In consideration of THE STABLE allowing my participation in this activity, under the terms set forth herein, I, the rider, and the parent or guardian thereof if a minor, do agree to hold harmless and release THE STABLE, its owners, agents, employees, contract laborers, officers, members, premises owners, affiliated organizations, and insurers from legal liability due to THE STABLE'S ordinary negligence, and I do further agree that except in the event of THE STABLE'S gross and willful negligence, I shall bring no claims, demands, actions and causes of action and/or litigation against THE STABLE and ITS ASSOCIATES as stated above in this clause, for any economic and/or non-economic losses due to bodily injury, death, property damage, sustained by me and/or my minor child or legal ward in relation to the premises and operations of THE STABLE, to include while riding, handling, or otherwise being near horses owned by or in the care, custody and control of THE STABLE.

To:  Red Horse Training and the Owner(s) of the “HORSE”, their directors, officers, employees, representatives, agents, officials, business operators, equine owner(s), instructors, and site property owners (all of them hereinafter collectively called “Red Horse Training”).

I am aware and understand that there are inherent DANGERS, HAZARDS, and RISKS (collectively called “RISKS”) associated with Equine Activities.  I acknowledge that these Inherent RISKS of Equine Activities mean those DANGEROUS conditions which are an integral part of Equine Activities, including but not limited to”

  1. the propensity of any equine to behave in ways that may result in injury, harm or death to persons on or around them and/or damage to property in their vicinity;
  2. the unpredictability of an equine’s reaction to such things as sounds, sudden movement and unfamiliar objects, persons or other animals;
  3. the equine’s response to certain hazards such as surface and subsurface objects;
  4. collisions with other equines, animals, people, and objects;
  5. the potential of any participant to act in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the equine or to act within his or her ability.

I understand that injuries resulting from such RISKS are a common and ordinary occurrence associated with Equine Activities.  I freely accept and fully assume all the RISKS and the possibility of personal injury, death, property damage, or loss from being a Participant.  I acknowledge that it remains my sole responsibility to act in such a manner as to be responsible for my own safety and to participate within my own limits.

In consideration of Red Horse Training permitting my participation in the ACTIVITY with the HORSE, I, together with my heirs, executors, administrators and assigns (collectively called LEGAL REPRESENTATIVES) agree as follows:

  1. To waive all claims that I may have against Red Horse; and,
  2. To release Red Horse from any and all liability for any loss, damages, injury, or expense, including attorney’s fees and costs, that I or my LEGAL REPRESENTATIVES may suffer as a result of my participation in the ACTIVITY due to any cause whatsoever; and 
  3. To hold harmless and indemnify Red Horse Training from any and all liability for any property damage, accident, injury, illness, or death to the Participant or to any third party or to any horse owned by the Undersigned resulting from my participation in the ACTIVITY on the premises of, or the surrounding area of Red Horse Training during the course of its operation due to any alleged negligence of Red Horse Training, its owners, agents, and employees; and
  4. To the best of my ability to prevent and avoidance the custody or control of the HORSE by other person(s), and to refuse any person(s) to use or have access to the HORSE for the purpose of participating in the ACTIVITY.

Before I signed this Release and Acknowledgement, I read it and I state that I understand it.  I am aware that by signing this Release and Acknowledgment, I am waiving certain legal rights which I might have against the Owner(s) of the HORSE, Red Horse Training, its owners, agents or employees, or, if I die, by signing this Release and Acknowledgment, I am waiving certain rights that my LEGAL REPRESENTATIVES may have against the Owner(s) of the HORSE, Red Horse Training, its owners, agents, or employees.

All riders and parents/guardians of minor riders must sign this document below.

SIGNER STATEMENT OF AWARENESS. I/WE, the undersigned, have read and do understand this agreement, warnings release and assumption of risk. I/WE further attest that all statements relating to the applicant's physical condition, experience level and relationship to parent or guardian are in fact true and accurate.

Signed this date: February 6, 2023

WARNING
UNDER KENTUCKY LAW, A FARM ANIMAL ACTIVITY SPONSOR, FARM ANIMAL PROFESSIONAL, OR OTHER PERSON DOES NOT HAVE THE DUTY TO ELIMINATE ALL RISKS OF INJURY OF PARTICIPATION IN FARM ANIMAL ACTIVITIES. THERE ARE INHERENT RISKS OF INJURY THAT YOU VOLUNTARILY ACCEPT IF YOU PARTICIPATE IN FARM ANIMAL ACTIVITIES.

First Rider's Name

First Name*

Last Name*

Phone*
First Rider's Date of Birth*
First Rider's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
First Rider's Signature*
Second Rider's Name

First Name*

Last Name*
Second Rider's Date of Birth*
Second Rider's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
Third Rider's Name

First Name*

Last Name*
Third Rider's Date of Birth*
Third Rider's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
Fourth Rider's Name

First Name*

Last Name*
Fourth Rider's Date of Birth*
Fourth Rider's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
Fifth Rider's Name

First Name*

Last Name*
Fifth Rider's Date of Birth*
Fifth Rider's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
Sixth Rider's Name

First Name*

Last Name*
Sixth Rider's Date of Birth*
Sixth Rider's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
Seventh Rider's Name

First Name*

Last Name*
Seventh Rider's Date of Birth*
Seventh Rider's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
Eighth Rider's Name

First Name*

Last Name*
Eighth Rider's Date of Birth*
Eighth Rider's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
Ninth Rider's Name

First Name*

Last Name*
Ninth Rider's Date of Birth*
Ninth Rider's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
Tenth Rider's Name

First Name*

Last Name*
Tenth Rider's Date of Birth*
Tenth Rider's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
Rider's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*

HOME PHONE

WORK PHONE
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Equine Experience: *
Does the rider have any physical or mental health conditions which might affect his/her ability to participate in equine sports?*
No
Yes

If yes, describe:

How may THE STABLE assist you with any special needs?

ACCIDENT/MEDICAL INSURANCE: I agree that, in the event of an injury to THE RIDER/PARTICIPANT, my insurance or myself will be responsible for covering any associated costs.


Health Insurance Provider: *

Name of Insured: *

Group Number: *

Identification Number: *
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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